METABOLIC disorders / 3 Flashcards

1
Q

What are the 2 types of osteochondrosis

A
  1. Scheuermann’s Disease

2. Calve’s Disease

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2
Q

What is osteochondrosis

A

Interruption of blood supply of epiphysis of bone

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3
Q

What is osteochondrosis of primary center of ossification in the spine

A

Calve’s disease

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4
Q

What is osteochondrosis of secondary center of ossification on the spine

A

Scheuermann’s disease

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5
Q

What does Scheuermann’s result in

A

Kyphotic posture

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6
Q

What ages are effected by Calve’s disease

A

2-8

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7
Q

How many vertebrae is Calve’s disease limited to

A

1

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8
Q

What does Calve’s cause

A

Avascular necrosis of langerhan cells which creates granulomas

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9
Q

What are the types of osteoporosis

A

Type I and II

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10
Q

What is type I osteoporosis

A

Postmenopausal osteoporosis

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11
Q

Who gets type I osteoporosis

A

5-20% of women between 50-70

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12
Q

What is type II osteoporosis

A

Senile osteoporosis

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13
Q

Who gets type II osteoporosis

A

Women more than men over 70

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14
Q

What percent of women over the age of 45 will be affected by osteoporosis

A

30-45%

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15
Q

When does bone mass peak

A

25-35

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16
Q

How much bone mass loss occurs during the first 5 years of menopause

A

11%

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17
Q

How much bone mass loss occurs during the following 20 years of menopause

18
Q

How much calcium do premenopausal women need

A

Over 1000 mg

19
Q

How much calcium do postmenopausal women need

A

Over 1500 mg

20
Q

What is osteomalacia

A

Softening of bone without loss of bone matrix

21
Q

What causes osteomalacia (2)

A
  1. Insufficient intestinal calcium

2. Increased renal phosphate losses

22
Q

What is scurvy

A

Vitamin C deficiency which leads to failure of osteoblastic formation of bone matrix

23
Q

What does scurvy cause

A

Hemorrhagic manifestations and abnormal formation of bones and teeth

24
Q

What is arthrogryposis multiplex congenita

A

Nonprogressive neuromuscular syndrome characterized by multiple congenital contractures in and intact skeleton

25
What does arthrogryposis multiplex congenita cause
Contractures in flexion or extension, amyoplasia
26
What is distal arthrogryposis
Primarily affectin hands and feet
27
What is the incidence of arthrogryposis multiplex congenita per birth
1 in 3000/4000
28
What is osteogenesis imperfecta defined as
Brittle bones
29
How does osteogenesis imperfecta occur
Due to mutations in type I collagen affecting bone, teeth, and ligaments
30
How is osteogenesis imperfecta diagnosed
Skin biopsy revealing collagen mutation
31
What is another name for achondroplasia
Dwarfism
32
How do you diagnose achondroplasia
DNA test performed before birth
33
How many mutated genes are required for achondroplasia
2
34
What are indicators of achondroplasia
Slow motor development, walking doesn't occur until 24-36 months, obesity, and otitis media
35
What is otitis media
Middle ear infection
36
How does achondroplasia present on an X-Ray
Large skull, narrow foramen magnum, short vertebral bodies, narrow spinal canal, fibular overgrowth, broad hands short metacarpals, and ribs are short
37
Achondroplasia is failure of what
Longitudinal growth in cartilage of epiphyseal plate
38
Marfan syndrome is hyper or hypochondroplasia
Hyperchondroplasia
39
Marfan syndrome has a defect in what
The gene that produces fibrilin
40
What does fibrilin do
Gives connective tissue its elasticity and strength
41
Clinical picture of Marfan syndrome
Tall, excessive length of limbs and trunk, hypermobility, chest wall abnormalities
42
What are the Ghent criteria (6)
1. Enlarged aorta 2. Aortic dissection 3. Dislocation of lens 4. Dural ectasia 5. Skeletal problems 6. Abnormal gene that causes Marfan